Compassionate Family Urgent Care LLC
Organization Active NPI Urgent Care Clinic/Center · Minco, OK
NPI 1093384398 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1093384398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- COMPASSIONATE FAMILY URGENT CARE LLC
- Practice address
- 1100 SW 3Rd St
Minco, OK 73059-7305 - Phone
- (405) 206-8192
- NPI assigned
- Jun 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Henry E Davis Jr., APRN CNP
- Title
- Owner
- Phone
- (405) 206-8192
Practitioners 1
-
Henry Edward Davis Jr., APRN CNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2255104 | Compassionate Family Urgent Care | Certificate of waiver | Mar 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220317001203 | OK | Part B Supplier - Clinic/Group Practice | 5092109082 |
Receives reassigned benefits from 1 practitioner Practice locations: Minco, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1100 SW 3Rd St
Minco, OK 73059-7305
Mailing address
1100 SW 3Rd St
Minco, OK 73059-3044
Phone (405) 206-8192
Other providers in Minco, OK
- Autumn Anthony
- Allison Nicole Butler
- County of Grady Minco School
- Henry Edward Davis Jr.
- Timilie Deanne Hughes
- Patricia Evelyn Mills
All providers in Minco, OK · Urgent Care Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.